Active NPI
Jada Byrd
- Professional Counselor
- Anderson, SC
National Provider Identifier
1952120628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10103
- Practice address
- 2105D N Main St
Anderson, SC 29621-3872 - Phone
- (864) 634-0930
- NPI assigned
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10103 | SC | Primary |
Addresses
Primary practice location
2105D N Main St
Anderson, SC 29621-3872
Mailing address
48 Cane Hill Dr
Piedmont, SC 29673-6100
Phone (864) 760-9113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10103 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1952120628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 CANE HILL DR",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "296736100",
"telephone_number": "864-760-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105D N MAIN ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213872",
"telephone_number": "864-634-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "JADA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "10103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.